Question 1

E codes are used to provide data for injury research and evaluation of injury-prevention strategies.

Accepted Answer

E codes, also known as external cause codes, are used in healthcare settings to record the cause and intent of injuries. This information is used for injury research and evaluation of injury-prevention strategies. Therefore, the statement is true.

Question 2

Coding burns is based on:
A)the location of the burn.
B)the degree of severity of the burn.
C)the percentage of the total body burned.
D)all of the above.

Accepted Answer

The answer of Coding burns is based on:
A)the location of...

Question 3

Major categories of E codes include all of the following EXCEPT:
A)assaults or purposely inflicted injury.
B)late effects of accidents or self-injury.
C)accidental falls.
D)history of past medical conditions.

Accepted Answer

The answer of Major categories of E codes include all...

Question 4

It is acceptable to code encounters for "probable" or "suspected" conditions on a UB-04 claim form to indicate a patient's admitting diagnosis.

Accepted Answer

According to the National Uniform Billing Committee (NUBC) guidelines, probable or suspected conditions may be coded as the admitting diagnosis if a definitive diagnosis has not yet been established. This helps to ensure accurate reimbursement for the care provided to the patient.

Question 5

Hypertension is classified in the hypertension table as:
A)benign or malignant.
B)malignant or unspecified.
C)malignant or unknown.
D)benign, malignant, or unspecified.

Accepted Answer

The answer of Hypertension is classified in the hypertension table...

Question 6

The Rule of Nines is used in coding to:
A)estimate the degree of a burn.
B)estimate the body surface area involved in a burn.
C)identify the chemical used in an accident that resulted in burns.
D)determine the location of a burn.

Accepted Answer

The answer of The Rule of Nines is used in...

Question 7

In coding surgical procedures, the coder should use the postoperative diagnosis only if it differs from the preoperative diagnosis.

Accepted Answer

The coder should only use the postoperative diagnosis if it differs from the preoperative diagnosis. If the diagnoses are the same, the preoperative diagnosis should be used.

Question 8

If a patient presents with no complaints of illness or injury, the coder should:
A)use a V code.
B)bill the patient for the standard office visit fee.
C)use an E code.
D)use the code of any preexisting condition.

Accepted Answer

The answer of If a patient presents with no complaints...

Question 9

A condition that remains after a patient's acute illness or injury is called a(n):
A)complication.
B)late effect.
C)manifestation.
D)adverse effect.

Accepted Answer

A late effect is a condition that persists after the acute phase of an illness or injury has resolved. Complications, manifestations, and adverse effects can all occur during the acute phase of an illness or injury.

Question 10

An E code would be used to report that a healthy person has become an organ donor.

Accepted Answer

E codes are used to report external causes of injury or poisoning, not to report medical procedures or voluntary actions such as organ donation. A different coding system would be used to document organ donation.

Question 11

In coding late (residual) effects, the coder should:
A)code only the cause of the late effect.
B)code only the late effect.
C)code first the cause followed by the code for the late effect.
D)code first the late effect followed by the code for its cause.

Accepted Answer

The answer of In coding late (residual) effects, the coder...

Question 12

When the physician determines the patient's main reason for the encounter, this information is referred to as the:
A)primary diagnosis.
B)principal diagnosis.
C)admitting diagnosis.
D)chief complaint.

Accepted Answer

The answer of When the physician determines the patient's main...

Question 13

The treatment provided for a particular condition is known as its manifestation.

Accepted Answer

The correct term for the treatment provided for a particular condition is "therapy" or "treatment plan". Manifestation refers to the visible or measurable symptoms or signs of a condition.

Question 14

The primary diagnosis is the main reason for the visit or encounter.

Accepted Answer

The primary diagnosis is the main medical issue or condition that the patient is seeking care for during the visit or encounter with a healthcare provider. It is the reason for the evaluation, diagnosis, and treatment plan. Secondary diagnoses may also be present, but they are considered less important and/or contributory to the primary diagnosis.

Question 15

Malignant neoplasms are classified as:
A)primary, secondary, or carcinoma in situ.
B)primary, secondary, or third-level.
C)carcinoma in situ or noncarcinoma in situ.
D)primary or secondary only.

Accepted Answer

Malignant neoplasms (cancer) can be classified as primary (originating in the tissue where it is found), secondary (spreading from another part of the body), or carcinoma in situ (non-invasive cancer limited to the site of origin). Therefore, option A is the correct classification for malignant neoplasms. Options B and C are incorrect as they do not reflect the commonly accepted classifications of cancer. Option D is incorrect as it is too limited and does not fully encompass the variety of malignant neoplasms.

Question 16

Type I diabetes mellitus indicates that the:
A)patient is insulin-dependent.
B)patient is not insulin-dependent.
C)diabetes is uncontrolled.
D)diabetes occurred during pregnancy.

Accepted Answer

The answer of Type I diabetes mellitus indicates that the:
A)patient...

Question 17

0The term encounter refers to any occurrence of patient care, regardless of the setting in which it is provided.

Accepted Answer

The term encounter does refer to any occurrence of patient care, regardless of the setting in which it is provided. This includes visits to hospitals, clinics, emergency rooms, or even remote appointments through telehealth technology.

Question 18

In billing for inpatient services, two diagnosis codes are used. The final diagnosis after the patient has been admitted and an examination or tests have been performed is known as the:
A)rule-out diagnosis.
B)secondary diagnosis.
C)principal diagnosis.
D)primary diagnosis.

Accepted Answer

The answer of In billing for inpatient services, two diagnosis...

Question 19

A medical office specialist should always code to the highest level of specificity.

Accepted Answer

Coding to the highest level of specificity ensures accurate and complete documentation of the patient's condition and treatment, which is essential for proper medical billing and reimbursement. It also helps healthcare providers better understand the patient's health status and make informed decisions about their care.

Question 20

If a patient comes in for chemotherapy, the medical office specialist should code the cancer as primary and the V code for the encounter as secondary.

Accepted Answer

The medical office specialist should code the cancer as secondary if it is not the primary reason for the visit, and the V code for chemotherapy as primary to indicate the main reason for the encounter.

Quiz 5: ICD-9-CM Medical Coding

E codes are used to provide data for injury research and evaluation of injury-prevention strategies.

Coding burns is based on: A)the location of the burn. B)the degree of severity of the burn. C)the percentage of the total body burned. D)all of the above.

Major categories of E codes include all of the following EXCEPT: A)assaults or purposely inflicted injury. B)late effects of accidents or self-injury. C)accidental falls. D)history of past medical conditions.

It is acceptable to code encounters for "probable" or "suspected" conditions on a UB-04 claim form to indicate a patient's admitting diagnosis.

Hypertension is classified in the hypertension table as: A)benign or malignant. B)malignant or unspecified. C)malignant or unknown. D)benign, malignant, or unspecified.

The Rule of Nines is used in coding to: A)estimate the degree of a burn. B)estimate the body surface area involved in a burn. C)identify the chemical used in an accident that resulted in burns. D)determine the location of a burn.

In coding surgical procedures, the coder should use the postoperative diagnosis only if it differs from the preoperative diagnosis.

If a patient presents with no complaints of illness or injury, the coder should: A)use a V code. B)bill the patient for the standard office visit fee. C)use an E code. D)use the code of any preexisting condition.

A condition that remains after a patient's acute illness or injury is called a(n): A)complication. B)late effect. C)manifestation. D)adverse effect.

An E code would be used to report that a healthy person has become an organ donor.

In coding late (residual) effects, the coder should: A)code only the cause of the late effect. B)code only the late effect. C)code first the cause followed by the code for the late effect. D)code first the late effect followed by the code for its cause.

When the physician determines the patient's main reason for the encounter, this information is referred to as the: A)primary diagnosis. B)principal diagnosis. C)admitting diagnosis. D)chief complaint.

The treatment provided for a particular condition is known as its manifestation.

The primary diagnosis is the main reason for the visit or encounter.

Malignant neoplasms are classified as: A)primary, secondary, or carcinoma in situ. B)primary, secondary, or third-level. C)carcinoma in situ or noncarcinoma in situ. D)primary or secondary only.

Type I diabetes mellitus indicates that the: A)patient is insulin-dependent. B)patient is not insulin-dependent. C)diabetes is uncontrolled. D)diabetes occurred during pregnancy.

0The term encounter refers to any occurrence of patient care, regardless of the setting in which it is provided.

In billing for inpatient services, two diagnosis codes are used. The final diagnosis after the patient has been admitted and an examination or tests have been performed is known as the: A)rule-out diagnosis. B)secondary diagnosis. C)principal diagnosis. D)primary diagnosis.

A medical office specialist should always code to the highest level of specificity.

If a patient comes in for chemotherapy, the medical office specialist should code the cancer as primary and the V code for the encounter as secondary.